Failed Conscious Sedation During Procedure
Conditions
Keywords
sedation, dexmedetomidine, remifentanil, cataract surgery, surgeon satisfaction, patient satisfaction
Brief summary
This study evaluates the surgeon and patient´s satisfaction who undergoes cataract surgery using either dexmedetomidine or remifentanil as sedation
Detailed description
This is a double blind, randomized study which evaluates surgeon and patient´s satisfaction whom undergoes cataract surgery. The surgery was done under local anesthesia and sedation.
Interventions
remifentanil, 0.25 ng/mL, given intravenous, infusion, until surgery finished
dexmedetomidine, 0.125 mcg/kg/hour, given intravenous, infusion, until surgery finished
Sponsors
Study design
Eligibility
Inclusion criteria
* subject has cataract, * subject older than 18 years, * local anesthesia and sedation.
Exclusion criteria
* general anesthesia, * history of consumption of sedatives.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgeon and patient satisfaction | Intraoperative | It was evaluated with an absolute numerical subjective scale from 1 to 7, where a score of 1 means total dissatisfaction, and 7 complete satisfaction. Scores were evaluated 30 minutes after surgery begun and at the end of the procedure. Results are presented in median and interquartile ranges. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgery duration | Intraoperative | Minutes |
| Heart rate | Intraoperative | Beats per minute (bpm) |
| Mean arterial pressure | Intraoperative | Millimeters of mercury (mmHg) |
| Hemoglobin oxygen saturation | Intraoperative | Oxygen saturation (%) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Hypotension | Intraoperative | Systolic blood pressure below 90 mmHg |
| Respiratory depression | Intraoperative | Decreased respiratory rate below 10 rpm and desaturation, situation that required intubation |
| Oxygen desaturation | Intraoperative | Hemoglobin oxygen saturation below 90% |
| Internation | Intraoperative | Inpatient treatment |